Provider Demographics
NPI:1245078450
Name:LUCAS, ERIKA (MHC-A)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:LUCAS
Suffix:
Gender:F
Credentials:MHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PENTA ST
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-1420
Mailing Address - Country:US
Mailing Address - Phone:401-248-4252
Mailing Address - Fax:
Practice Address - Street 1:659 SANDY LN
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-8241
Practice Address - Country:US
Practice Address - Phone:401-441-8449
Practice Address - Fax:401-712-6578
Is Sole Proprietor?:No
Enumeration Date:2024-07-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health